340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH05022I INTERCARE COMMUNITY HEALTH NETWORK (Active)
Print
Main Details
Name
INTERCARE COMMUNITY HEALTH NETWORK
Subdivision Name
INTERCARE BANGOR
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002051
340B ID
CH05022I
Grant Number
H80CS00771
Additional Details
Current Program Status
Active
Registration Date
7/1/1998
Participating Start Date
7/1/1998
Participating Approval Date
3/10/2005
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
InterCare Community Health Network
VELMA HENDERSHOTT, CEO
(269) 427-7937 Ext: 200
Primary Contact
InterCare Community Health Network
John McElwee, Chief Financial Office
(269) 427-7937
Addresses
Street Address
308 CHARLES ST
BANGOR, MI 49013-1317
Billing Address
INTERCARE COMMUNITY HEALTH NETWORK - ADMINISTRATIVE OFFICE
50 INDUSTRIAL PARK RD
BANGOR, MI 49013-1246
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
3/10/05 - DUE TO AN ADMINISTRATIVE CORRECTION, THIS SITE USED TO BE NUMBERED CH050220. THE CH050220 SITE IS NOW THE ADMINISTRATIVE SITE FOR THE GRANTEE. ALSO ADDED BILL TO, MOD ENT NAME, NEW CONTACT
08/12/2005
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session